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Tramadol and HCV therapy

A few months before I started HCV tx I started taking Lyrica and Tramadol for the body pains I was having; they are prescribed by my pain management dr.  After researching Tramadol last week and seeing its sx I was wondering if it was contributing to the hallucinations I was having with the interferon and ribavirin.  I asked the doctor if there was any other pain med I could take after doing the research and scaring myself silly and was told no.  I tried weaning off of the Tramadol, but the pain is too much to bear along with the sx of the HCV therapy, so started taking it again.  My ribavirin dosage has been lowered and I have a clearer brain now so I guess it wasn't the Tramadol, but am still worried about all of the results of the Tramadol research.  Does anyone know if I am going to hinder the the HCV therapy by continuing taking the Tramadol or is it really the only choice I have for pain and okay to take for the 48 weeks?      
4 Responses
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233616 tn?1312787196
tramadol is not liver friendly....go to pub med, and type in tramdol and liver toxicity


I read extensively on the topic, and came to the conclusion doctors seldom read research papers...

my doc insisted the reserch was wrong so I made her do a CBC on me...

then I went off the tramadol and did another cbc a week later

my ALT AST was half of what it was. The research is there.

actually if you have to be on something oxycodone without any tylenol is the best bet, but keep doses as low as possible.
I take half a 5 mg tab at a time and am able to walk as a result (8 ruptured and 2 missing discs) but it's better to try to keep meds to a minimum with LD and HCV.
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142841 tn?1201975052
No -- Tramadol (Ultram) is liver-friendly, and is often prescribed during HCV tx.
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Avatar universal
The ribavirin was originally 1200 and lowered to 1000 to help me function better. Tramadol is such an odd drug with all of its do's and don'ts listed, I don't want to screw up my progress.  I don't take another blood test for 3 1/2 weeks and am worried about it  throwing my hgb even lower with the change in the ribavirin.  I think I over researched the drug and hope I just scared myself into thinking it could affect the tx and would feel better if someone could tell me yes or no or "stop searching the web" LOL    
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1431734 tn?1421011671
how much did they lower the ribavirin to? what was it originally?
Helpful - 0
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